Basic Information
Provider Information
NPI: 1477810026
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMOS
FirstName: FRANCES SHERRYL
MiddleName: SALVADORA
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1580 SAWGRASS CORPORATE PKWY
Address2: #100
City: SUNRISE
State: FL
PostalCode: 333232859
CountryCode: US
TelephoneNumber: 9543324445
FaxNumber:  
Practice Location
Address1: 8170 CRESTVIEW DR APT 6
Address2:  
City: STERLING HEIGHTS
State: MI
PostalCode: 48312
CountryCode: US
TelephoneNumber: 2489901125
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/20/2012
LastUpdateDate: 01/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X20013MAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT021969PAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X1104378KSN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X05011336AINN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X5501017016MIY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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